Individual provider Active NPI

Maureen McGlame, LADC1, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Boston, MA
National Provider Identifier
1801087317
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
16 Blossom St
Boston, MA 02114-3104
Phone
(617) 726-9216
Fax
(617) 248-0070
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MA Primary

Addresses

Primary practice location

16 Blossom St
Boston, MA 02114-3104

Mailing address

16 Blossom St
Boston, MA 02114-3104
Phone (617) 726-9216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201502, 917MAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1801087317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BLOSSOM ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143104",
            "telephone_number": "617-726-9216",
            "fax_number": "617-248-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BLOSSOM ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143104",
            "telephone_number": "617-726-9216",
            "fax_number": "617-248-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLAME",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "LADC1, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.